| Code | Description | Claims | Beneficiaries | Total Paid |
| T4523 |
Adult sized disposable incontinence product, brief/diaper, large, each |
4,353 |
4,154 |
$466K |
| T4541 |
Incontinence product, disposable underpad, large, each |
8,200 |
7,448 |
$418K |
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
5,187 |
4,744 |
$292K |
| T4524 |
Adult sized disposable incontinence product, brief/diaper, extra large, each |
1,828 |
1,788 |
$182K |
| T4522 |
Adult sized disposable incontinence product, brief/diaper, medium, each |
673 |
667 |
$58K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
3,785 |
3,458 |
$55K |
| A4335 |
Incontinence supply; miscellaneous |
3,860 |
3,527 |
$47K |
| T4537 |
Incontinence product, protective underpad, reusable, bed size, each |
329 |
329 |
$9K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
100 |
98 |
$5K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
88 |
88 |
$4K |
| A4927 |
Gloves, non-sterile, per 100 |
142 |
142 |
$2K |